Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $172.85 / $313.74	Facility		$98.68	$172.85	$313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $98.68 / $172.85	Professional		$87.21	$98.68	$172.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.97 / $523.60 / $1,230.33	Facility		$290.97	$523.60	$1,230.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.87 / $258.62 / $781.10	Facility		$170.87	$258.62	$781.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $156.87 / $248.76	Professional		$91.96	$156.87	$248.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $164.99 / $717.07	Professional		$105.90	$164.99	$717.07
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $125.18 / $135.94	Professional		$122.56	$125.18	$135.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $32.34 / $142.22	Professional		$27.89	$32.34	$142.22
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $148.90 / $223.58	Professional		$108.99	$148.90	$223.58